Provider Demographics
NPI:1235451634
Name:SHASTRI, JANARDAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JANARDAN
Middle Name:
Last Name:SHASTRI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BRONX RIVER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4442
Mailing Address - Country:US
Mailing Address - Phone:914-237-7681
Mailing Address - Fax:914-237-7791
Practice Address - Street 1:132 BRONX RIVER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-4442
Practice Address - Country:US
Practice Address - Phone:914-237-7681
Practice Address - Fax:914-237-7791
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist